Individual provider Active NPI

Sukhdeep Kaur Ahuja, M.D

  • Psychiatry Physician
  • Garden City, NY
National Provider Identifier
1407090566
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
257871 Issued in NY
Practice address
385 Oak St
Mercy Medical Center
Garden City, NY 11530-6543
Phone
(516) 661-7916
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 257871 NY Primary

Addresses

Primary practice location

385 Oak St
Mercy Medical Center
Garden City, NY 11530-6543

Mailing address

60 Westwood Dr
Apartment 65
Westbury, NY 11590-1613
Phone (516) 661-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507001719 CA Practitioner - Psychiatry 9931394939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope ServicesGroup PAC ID 5597716233, 29 clinicians

Practice addresses (Care Compare)

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 15, 2018 Accepting new patients
County of Santa Clara Psychiatry CurrentSince Sep 15, 2018 Accepting new patients
Hope Services CurrentSince Jun 26, 2023 Accepting new patients
County of Santa Clara CurrentSince Sep 15, 2018 Accepting new patients
County of Santa Clara CurrentSince Sep 15, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
Hope Services CurrentSince Jun 26, 2023 Accepting new patients

Locations

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

Interoperability endpoints

  • Direct secure messaging: nahuja58699@santaclaravalley.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1407090566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD DR",
            "address_2": "APARTMENT 65",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901613",
            "telephone_number": "516-661-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 OAK ST",
            "address_2": "MERCY MEDICAL CENTER",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306543",
            "telephone_number": "516-661-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "SUKHDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "257871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.